NPI | 1043759202 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLINE VELASQUEZ Owner 231-487-2446 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801095890) |
Enumeration Date | 2017-02-21 |
Last Update Date | 2017-02-21 |